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Revista Cubana de Anestesiología y Reanimación

2015, Number 2

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Revista Cubana de Anestesiología y Reanimación 2015; 14 (2)

Effectiveness vs laryngeal tube laryngeal mask in elective surgical procedures

García AC, Cordero EI, Rassi LD

Language: Spanish
References: 39
Page: 108-123
PDF size: 150.03 Kb.


ABSTRACT

Introduction: addressing the airway is an anesthesiologist challenge and its success is the cornerstone of treatment for most patients requiring general anesthesia.
Objetive: demonstrate the effectiveness of laryngeal tube relative to the laryngeal mask in elective surgery.
Methods: controlled, randomized study was conducted at the Hospital Hermanos Ameijeiras in the period between January 2012 and January 2015. It included 100 patients ASA I and II requiring anesthesia for elective surgical procedures with less than three hours time. Randomly the device was determined to use: the laryngeal tube (TL) or TLS-II ProSeal laryngeal mask (ML). The learning curve, hemodynamic changes and mechanical ventilation and complications of its use was determined.
Results: the average age in the study group was 52.9 years. There was a slight predominance of women with 52.5 %. No significant changes in hemodynamics or mechanical ventilation. The complications were sore throat (29.7 %), dysphagia (17.5 %), nausea and regurgitation (10%) and dysphonia (2.5 %). The largest number of complications was presented with the use of the ML. Installation times were lower in the TL.
Conclusions: the use of the laryngeal tube as an alternative to tracheal intubation is recommended, so its use in elective procedures were recommended.


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